Politically, taking on the Affordable Care Act or not taking it on are both risky. While numerous voters don't comprehend all that the federal health law does, a few of its guidelines enjoy broad support. That's especially real of the protections for people with medical problems under the present law, insurance companies are barred from rejecting them for coverage or charging them more than people without such conditions.

Analysts on both sides anticipate issues about health costs and health law to play a big function once again in 2020. For Republicans, "the danger of doing absolutely nothing possibly leaves no port in a storm if the ACA is overturned lawfully," Rosen says. "But a more limited variation, which is what most Republicans are for, is likely to be fulfilled with the very same issues.

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